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Health Care Costs Associated to Type of Feeding in the First Year of Life

Author

Listed:
  • Carolina Lechosa-Muñiz

    (Breastfeeding Coordinator, IBCLC, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
    These authors contributed equally to this work.)

  • María Paz-Zulueta

    (Faculty of Nursing, Universidad de Cantabria, 39008 Santander, Spain
    IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, 39008 Santander, Spain
    These authors contributed equally to this work.)

  • María Sáez de Adana Herrero

    (Supervisor, Gynecology Service, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Elsa Cornejo del Rio

    (Obstetrics Service, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Sonia Mateo Sota

    (Pediatrics Service, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Javier Llorca

    (Department of Medical and Surgical Sciences, Universidad de Cantabria, 39008 Santander, Spain
    IDIVAL, GI Epidemiología y Salud Pública, 39008 Santander, Spain
    CIBER Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
    These authors contributed equally to this work.)

  • María J. Cabero-Perez

    (Pediatrics Service, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
    IDIVAL, Universidad de Cantabria, 39008 Santander, Spain
    These authors contributed equally to this work.)

Abstract

Background: Breastfeeding is associated with lower risk of infectious diseases, leading to fewer hospital admissions and pediatrician consultations. It is cost saving for the health care system, however, it is not usually estimated from actual cohorts but via simulation studies. Methods: A cohort of 970 children was followed-up for twelve months. Data on mother characteristics, pregnancy, delivery and neonate characteristics were obtained from medical records. The type of neonate feeding at discharge, 2, 4, 6, 9 and 12 months of life was reported by the mothers. Infectious diseases diagnosed in the first year of life, hospital admissions, primary care and emergency room consultations and drug treatments were obtained from neonate medical records. Health care costs were attributed using public prices and All Patients Refined–Diagnosis Related Groups (APR–DRG) classification. Results: Health care costs in the first year of life were higher in children artificially fed than in those breastfed (1339.5€, 95% confidence interval (CI): 903.0–1775.0 for artificially fed vs. 443.5€, 95% CI: 193.7–694.0 for breastfed). The breakdown of costs also shows differences in primary care consultations (295.7€ for formula fed children vs. 197.9€ for breastfed children), emergency room consultations (260.1€ for artificially fed children vs. 196.2€ for breastfed children) and hospital admissions (791.6€ for artificially fed children vs. 86.9€ for breastfed children). Conclusions: Children artificially fed brought about more health care costs related to infectious diseases than those exclusively breastfed or mixed breastfed. Excess costs were caused in hospital admissions, primary care consultations, emergency room consultations and drug consumption.

Suggested Citation

  • Carolina Lechosa-Muñiz & María Paz-Zulueta & María Sáez de Adana Herrero & Elsa Cornejo del Rio & Sonia Mateo Sota & Javier Llorca & María J. Cabero-Perez, 2020. "Health Care Costs Associated to Type of Feeding in the First Year of Life," IJERPH, MDPI, vol. 17(13), pages 1-9, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4719-:d:378576
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    References listed on IDEAS

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    1. Lumbwe Chola & Lars T Fadnes & Ingunn M S Engebretsen & Lungiswa Nkonki & Victoria Nankabirwa & Halvor Sommerfelt & James K Tumwine & Thorkild Tylleskar & Bjarne Robberstad & PROMISE-EBF Study Group, 2015. "Cost-Effectiveness of Peer Counselling for the Promotion of Exclusive Breastfeeding in Uganda," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-18, November.
    2. Carolina Lechosa Muñiz & María Paz-Zulueta & Elsa Cornejo del Río & Sonia Mateo Sota & María Sáez de Adana & María Madrazo Pérez & María Jesús Cabero Pérez, 2019. "Impact of Maternal Smoking on the Onset of Breastfeeding versus Formula Feeding: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
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    Cited by:

    1. María Jesús Valero-Chillerón & Desirée Mena-Tudela & Águeda Cervera-Gasch & Víctor Manuel González-Chordá & Francisco Javier Soriano-Vidal & José Antonio Quesada & Enrique Castro-Sánchez & Rafael Vila, 2022. "Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study," IJERPH, MDPI, vol. 19(9), pages 1-13, April.
    2. Carolina Lechosa-Muñiz & María Paz-Zulueta & Jose Manuel Mendez-Legaza & Juan Irure-Ventura & Rocío Cuesta González & Jorge Calvo Montes & Marcos López-Hoyos & Javier Llorca & María Jesús Cabero-Pérez, 2021. "Induction of SARS-CoV-2-Specific IgG and IgA in Serum and Milk with Different SARS-CoV-2 Vaccines in Breastfeeding Women: A Cross-Sectional Study in Northern Spain," IJERPH, MDPI, vol. 18(16), pages 1-12, August.
    3. Javier Llorca & Carolina Lechosa-Muñiz & Pelayo Frank de Zulueta & Sonia López-Gómez & Victoria Orallo & Jéssica Alonso-Molero & Barbara Arozamena-Llano & Yolanda Jubete & María Paz-Zulueta & María J., 2021. "Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts," IJERPH, MDPI, vol. 18(15), pages 1-7, August.

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